Forms

Reimbursement Form (NYLA)
Available as PDFImportant Tips to Filling out NYLA Reimbursement Form:

Division Presidents can send reimbursement requests to NYLA but keep in mind that forms must be mailed with original receipts.

Board members and committee members (with the exception of Division Presidents) should send reimbursement requests to:
Jose Rodrigo Hernandez
Patchogue-Medford Library
54-60 East Main Street
Patchogue, NY 11772
Sending reimbursement forms through the System bag is preferred.

Reimbursement forms and relevant documents may also be scanned and sent via E-Mail: scla1939@gmail.com as a copy.

Board Members and Committee members will need their Division treasurer’s signature in order to receive reimbursement. Division Treasurers’ will need a Division President’s Signature in order to reimburse themselves. Reimbursement requests made by a Division Treasurer and made payable to herself are not accepted. For any further inquiries, don’t hesitate to E-Mail (preferred) provided or Call (if need be) @ 631-654-4700 x257